Stepwise approach to functional and aesthetic full mouth rehabilitation of worn out dentition – A case report

Abstract

Prosthodontic rehabilitation is the art and science of restoring and developing form, function and aesthetics of a patient. Treatment of severe worn out dentition with surface defects require full mouth rehabilitation to restore form and function of the masticatory apparatus to as near normal as possible. Full mouth rehabilitation continues to be the biggest challenge to any clinician in Restorative dentistry. It requires efficient diagnosis and elaborated treatment planning to develop ordered occlusal contacts and harmonious articulation in order to optimize stomatognathic function, health and aesthetics which then translates to patient's comfort and satisfaction. In this case report full occlusal reconstruction of generalized attrition with loss of vertical dimension was done using segmental arch technique with reorganizing approach following Pankey Mann Schuyler philosophy. Treatment plan requires an interdisciplinary approach with periodontal and endodontic therapies to achieve acceptable esthetics and function. Keywords: Full mouth rehabilitation, Worn out dentition, Pankey Mann Schuyler philosophy, Aesthetics, Functional rehabilitation.